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10.1513/AnnalsATS.201312-446FR http://scihub22266oqcxt.onion/10.1513/AnnalsATS.201312-446FR C4225807!4225807!24828526     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Ann+Am+Thorac+Soc 2014 ; 11 (5): 811-22 Nephropedia Template TP {{tp|p=24828526|t=2014. Management of Acute Right Ventricular Failure in the Intensive Care Unit |pdf=|usr=}}{{24828526}} gab.com Text Management of Acute Right Ventricular Failure in the Intensive Care Unit JO: Ann Am Thorac Soc http://www.kidney.de/pget.php?&tw=1&pmid=24828526 #FOAvip Right ventricular (RV) failure occurs when the RV fails to maintain enough blood flow through the pulmonary circulation to achieve adequate left ventricular filling. This can occur suddenly in a previously healthy heart due to massive pulmonary embolism or right-sided myocardial infarction, but many cases encountered in the intensive care unit involve worsening of compensated RV failure in the setting of chronic heart and lung disease. Management of RV failure is directed at optimizing right-sided filling pressures and reducing afterload. Due to a lower level of vascular tone, vasoactive medications have less salient effects on reducing vascular resistance in the pulmonary than in the systemic circulation. Successful management requires reversal of any conditions that heighten pulmonary vascular tone and the use of selective pulmonary vasodilators at doses that do not induce systemic hypotension or worsening of oxygenation. Systemic systolic arterial pressure should be kept close to RV systolic pressure to maintain RV perfusion. When these efforts fail, the judicious use of inotropic agents may help improve RV contractility enough to maintain cardiac output. Extracorporeal life support is increasingly being used to support patients with acute RV failure who fail to respond to medical management while the underlying cause of their RV failure is addressed. Twit Text FOAVip Management of Acute Right Ventricular Failure in the Intensive Care Unit ????Ann Am Thorac Soc http://www.kidney.de/pget.php?&tw=1&pmid=24828526 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=24828526 #FOAvip English Wikipedia <ref>{{Cite pmid|24828526}}</ref> Management of Acute Right Ventricular Failure in the Intensive Care Unit #MMPMID24828526 Ventetuolo CE; Klinger JR Ann Am Thorac Soc 2014[Jun]; 11 (5): 811-22 PMID24828526show ga Right ventricular (RV) failure occurs when the RV fails to maintain enough blood flow through the pulmonary circulation to achieve adequate left ventricular filling. This can occur suddenly in a previously healthy heart due to massive pulmonary embolism or right-sided myocardial infarction, but many cases encountered in the intensive care unit involve worsening of compensated RV failure in the setting of chronic heart and lung disease. Management of RV failure is directed at optimizing right-sided filling pressures and reducing afterload. Due to a lower level of vascular tone, vasoactive medications have less salient effects on reducing vascular resistance in the pulmonary than in the systemic circulation. Successful management requires reversal of any conditions that heighten pulmonary vascular tone and the use of selective pulmonary vasodilators at doses that do not induce systemic hypotension or worsening of oxygenation. Systemic systolic arterial pressure should be kept close to RV systolic pressure to maintain RV perfusion. When these efforts fail, the judicious use of inotropic agents may help improve RV contractility enough to maintain cardiac output. Extracorporeal life support is increasingly being used to support patients with acute RV failure who fail to respond to medical management while the underlying cause of their RV failure is addressed. äManagement of Acute Right Ventricular Failure in the Intensive Care Un(epmc).pdf DeepDyve Pubget Overpricing